胸腔镜辅助小切口手术治疗Ⅲ期慢性脓胸的效果及对预后的影响  

The Effect of Thoracoscopy-assisted Small Incision Surgery in the Treatment of StageⅢChronic Empyema and Its Influence on the Prognosis

作　　者：王思博 王璟 钱孟佼 李俊 WANG Sibo;WANG Jing;QIAN Mengjiao;LI Jun(Department of Cardiothoracic Surgery,Yunnan South Central Hospital(Honghe Prefecture First People's Hospital),Mengzi,Yunnan Province,661199 China)

机构地区：[1]云南省滇南中心医院(红河州第一人民医院)心胸外科,云南蒙自661199

出　　处：《世界复合医学》2021年第6期84-86,共3页World Journal of Complex Medicine

摘　　要：目的分析胸腔镜辅助小切口手术治疗Ⅲ期慢性脓胸的效果及对预后的影响。方法选择该院2014年1月—2019年12月Ⅲ期慢性脓胸患者共96例,数表法随机分两组,每组48例,对照组患者给予常规开胸手术治疗,观察组采取胸腔镜辅助小切口手术治疗。比较两组手术指标、治疗前后患者应激指标、并发症发生率。结果观察组手术时间、总出血量、下床时间和住院时间分别是(186.12±13.12)min、(216.29±11.21)mL、(16.90±2.50)h、(11.21±0.21)d优于对照组,差异有统计学意义(t=16.208、59.449、15.260、17.341,P<0.05),治疗后两组应激指标均升高,而观察组应激指标显著低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率16.67%低于对照组35.42%,差异有统计学意义(χ^(2)=4.381,P<0.05)。结论胸腔镜辅助小切口手术对于Ⅲ期慢性脓胸的治疗效果确切,可减轻对患者的应激,并发症少,安全性高,可加速康复。Objective To analyze the effect of thoracoscopic assisted small incision surgery in the treatment of stageⅢchronic empyema and its influence on the prognosis.Methods A total of 96 patients withⅢstage chronic empyema in the hospital from January 2014 to December 2019 were randomly divided into two groups by number table method,48 patients in each group.Patients in the control group were treated with conventional thoracotomy,and patients in the observation group were treated with thoracoscopic assisted small incision.The operative indexes,stress indexes and complication rate before and after treatment were compared between the two groups.Results The operation time,total bleeding,bed time and hospitalization time of the observation group were(186.12±13.12)min,(216.29±11.21)mL,(16.90±2.50)h and(11.21±0.21)d,respectively.The difference was statistically significant(t=16.208,59.449,15.260,17.341,P<0.05).After treatment,the stress indexes of both groups were increased,while the stress indexes of the observation group were significantly lower than that of the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group was 16.67%lower than that of the control group 35.42%,and the difference was statistically significant(χ^(2)=4.381,P<0.05).Conclusion Thoracoscopy-assisted small incision surgery is effective in treating stageⅢchronic empyema.It can reduce the stress on patients,has fewer complications,is safe,and can speed up recovery.

关 键 词：胸腔镜辅助小切口手术 Ⅲ期慢性脓胸 效果 预后 

分 类 号：R61[医药卫生—外科学]